Orchestrators / Life Sciences / AI Access & Reimb
Helps patients enroll, navigate coverage, activate copay support, and access financial assistance.
Supports access throughout the patient journey: program enrollment with auto-form filling and consent; plain-language benefits and coverage explanation; prior-auth status navigation and requirement walk-throughs; copay program enrollment; financial-assistance screening and application support; pharmacy coordination, including autonomously navigating payor and pharmacy IVRs, plus approval notification and first-fill confirmation
Acceleration of coverage leads to more patient starts. With the proper support, more scripts are filled and more patients stay on therapy for the second fill and beyond.
Abandonment: Roughly a fifth to a quarter of new prescriptions are never filled, and for specialty the killer is access friction – every case resolved in-call is a start that would have died at the counter. Time-to-first-fill compresses from weeks of phone tag to a conversation.
Hub capacity: Case-manager attention goes to exceptions while AI carries the routine at scale.
Between the prescription and the first dose sits a gauntlet: eligibility forms, prior auth, copay cards, a specialty pharmacy that calls twice and gives up. Every step sheds patients because nobody had time to carry them through, not because they chose to stop. This product is the carrier. It enrolls the patient, explains what their coverage actually means, chases the prior auth, applies the assistance they qualify for, and stays on the line through the pharmacy’s own hold music. The hub team sees clean, complete cases and spends its expertise on the hard ones.
